HomeMy WebLinkAbout2006-P10011 - plumbing .
� PERMIT
�C;I i"'� OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10o11
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(9�2) 249-4600 Date Issued: 6/20/2006
SITE ADDRESS: 2180 North Shore Dr unit#
Wayzata,MN 55391
PID: 10-117-23-31-0098
DESCRIPTION:
Proposed Use: Institutional-Schools
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Rough in only on 2nd floor
FEE SUMMARY: Pernut Fee: $ 225.00 Valuation: $ 18,000.00
State Surcharge Fee: $ 9.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 235.50
APPLICANT: Dale Sorensen Co. OWNER: Hill School of Minnesota, Inc.
9201 East Bloomington Freeway 2180 North Shore Dr
Bloomington,MN 55420 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� FOR CITY USE ONLY
City of Orono
y �0�� P.O.Box 66 Date Received: Permit#
�fr �'�� 2750 Kelley Pazkway
��� � Crystal Bay,MN 55323 Approved By: Amount$:
�,����� (952)249-4600
CITY OF ORONO—PLUMBING PERNIIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Ptumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(2448 hour notice required)
TYPE OF PERMIT
Check All That A 1
❑Residential �Commercial(Approval Required)
❑New �Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: 2' l S O �p EZ-} !a S�..4�¢,� �2 i�i E
Owner:__ �i u., S C�c��c_ Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��� Setz.�u 5�,.� C�• Contact Person: b 4�L�
Address: q 201 £w�s�- $t�o�nti���a State Bond#: �3 3 o fo � (
t���Y
City: � v�, _ Zip: S5�1ZoExpiration Date: (2 �3�, 01�
Phone: q��-$��{- 1��-3 Alternate Phone: 9 5 2- Z 9 Z- 113 fo
❑ Insurance—Cunent: _�c.p�z�t�'p
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet i Z 2 Floor Drains 2 Z 2
Lavatory ' 3 � Sewer Ejector
Bathroom Laundry Tray
�'c.n���a l (
Shower Washer
Kitchen Sink ( Water Heater �
Disposal Water Softener �
Dishwasher Wet Baz
Sillcocks Miscellaneous
UQtNh� ;y�' . I
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Ro�6 t�k 1,►.� a►s�y 2 t�i,o�.�_ ��c�S
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surchazge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
1`� �0� x.0125$ �z5 �
( ntract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of 5.50)
x.0005 $ q�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
�o
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �G 3�J
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged
to the customer for the work done. If any material,equipment, labor or installations aze furnished by
the owner,tenant or any oth.er party,the reasonable mazket value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
• **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50—whichever is
greater. For valuations over$1,000,000 cail the Building Department at(952)249-4600 for the price.
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The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: . (�L�. �O�.r�.cs�,-1 Date: (9� t�o -p(o
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Hill School- Orono MN
SYMBOLS, ABBREVIATIONS & SPECIFICATIONS
Pl Handicapped Water Closet- American Standard 2998.012
P2 Wall Hung Lavatory- A.S. 0355.012 with Reliant faucet
P3 Urinal- American Standard 6501.010- with flush valve
P4 Standard water closet 2898.012 �
PS Mop Sink 24x24x10 flat with Chicago #897
P6 Elkay 2522 with A.S. Colony faucet
WH1 40 Gallon gas water heater- A.O. Smith GPCR 40 N
_. �__�__._o_ Under floor sanitary sewer
- - - v -- - Vent
,�� Hot water
--�' Cold water
� F.D. floor drain
� N C.O. clean out
Under floor wastes to be Schedule 40 PVC with DWV fitting.
Above floor wastes and venting to be Schedule 40 PVC except in return air plenum
or over 35' developed length—Then to be cast iron.
Water to be Type L copper with no lead solder joints.
Waste and vent to be tested at 5# air.
Final monometer test to hold 1"w.c.
Disinfect water piping per MN code.
DATE TIME `�
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED ��1Z1� �r✓1
PERMIT NO. O COMPLETED
ADDRESS � ���� � '�-'
OWNER CONTR. `_ � ' a� .
TELEPHONE NO. �� I_�S�C��7 �7 � {�
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= UMBING R �� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� INAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED. ALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (J52� 249-4600
OwnerlContr n i -
Inspector.
White Copyllnspecior's File Canary CopylSite Notice
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DAT (�� TIM �
ITY OF ORONO CALLED IN � "`�
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INSPECTION N TICE SCHEDULED • K
PERMIT NO. � COMPLETED � '/a��+�'�
ADDRESS � ` j �����
OWNER CONTR. I O( '- �s'Ul�-
TELEPHONE N0. �S -� �O �I !�����
�� DESCRIPTION t )(\�C.(\GJ_C�L'lU�-d�
l� W FOOTING 11 MECHA ICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
09 PLUNfF3�RI!' 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �❑�ORRECT WORK&PROCEED '_' ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46��
Owner/Contractor on site:
Inspector. � 1 , ^ � �
White Copyllnspector's File Canary CopylSite Notice
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� �� � DATE TIME \�'
CITY OF ORONO CALLED IN /� � /�
INSPECTION N TJ CE SCHEDULED �� �� •' �
PERMIT NO. /�� � � COMPLETE
ADDRESS ��/�YO !'� �°'�� �/� `'`��
OWNER CONTR. .���� ���� C��/,
TELEPHONE NO. I s o� o� '�/��3 /� -�'s�
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 0 12 WATER HOOK-UP 17 SITE INSPECTION
FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 OE -SITE 27 SEPTIC MAINT. 21 COMPLAINT
7 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 LUMBING FINAL�� 36 FOUNDATION/REMOVAL
� OWNER/CONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
0 CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� Z49-46��
OwnerlContrac Q�p site:
Inspector. V
White Copyllnspector's File Canary Copy/Site Notice
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